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HomeMy WebLinkAbout21-1381 r:ru`n�otr City Of Zephyrhilis PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 BNR-001381-2021 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 02/24/2021 Permit Type: Building New (Residential) Property Number Street Address 13 26 21 0140 00000 0720 39533 Meadowood Loop Owner Information Permit Information Contractor Information Name: 301 DEVELOPMENT CORP Permit Type:Building New(Residential) Contractor: 301 DEVELOPMENT CORP Class of Work:SFR Construct Address: 5343 6Th Street Building Valuation:$140,000.00 ZEPHYRHILLS,FLORIDA 33542 Electrical Valuation:$8,000.00 Phone: (813)928-1471 Mechanical Valuation:$7,000.00 Plumbing Valuation:$7,000.00 Total Valuation:$162,000.00 Total Fees:$18,440.90 Amount Paid:$18,440.90 Date Paid:2/24/2021 10:00:17AM l/ Project Description CONSTRUCT SINGLE FAMILY 1,890 SQ FT Application Fees Driveway Fee $45.00 Mechanical Plan Review Fee $37.50 Electrical Permit Fee $80.00 314 Water Meter Fee(Calc) $732.71 Address Fee $30.00 Electrical Plan Review Fee $40.00 Plumbing Permit Fee $75.00 SIF 1 percent Fee $83.28 Public Safety Impact Fee-Admin $26.35 Public Safety Impact Fee-Police $254.00 Building Permit Fee' $730.00 Water Connection Residential Fee $1,010.00 Plumbing Plan Review Fee $37.50 Building Plan Review Fee $365.00 Transportation Impact Fee $3,595.68 Sewer Connection Residential Fee $2,090.00 Transportation Impact Fee-City $36.32 Mechanical Permit Fee $75.00 Park Impact Fee-Single Family/Townhome $769.56 School Impact Fee $8,328.00 REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIG URE PE IT OFFICE PERMIT EXPI S IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Jacqueline Boges From: Jacqueline Boges Sent: Monday, February 22, 2021 4:57 PM To: 'Michael S. Perry, MSRE, CCIM, GRI' Subject: NEED SUBS Attachments: contractor certificat.docx; meadowood loop.pdf Michael, I have the permit for the home out of review, need Santos and Sosa to register with us so that I may add them to the permit. 1 have attached the invoice for payment due Thank you r f 3 Jackie Boges 813-780-0020 ext3513 "A rule I have had for years is:to treat the Lord Jesus Christ as a personal friend. His is not a creed,a mere doctrine, but it is He Himself we have."Dwight L.Moody Florida has a very broad public records law. Electronic communications regarding most City of Zephyrhills business are public records and available upon request. Your e-mail communications may therefore be subject to public disclosure. If you received this message in error, please do not read, forward, copy, etc. and delete immediately. 1 INVOICE1111 . ' FOR OF BILLING CONTACT MASTERCRAFT CONSTRUCTION & HOMEBUILDER 301 DEVELOPMENT CORP 5343 6TH STREET ZEPHYRHILLS, FLORIDA 33542 F INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION INV-00002693 02/22/2021 02/22/2021 Due NONE REFERENCE NUMBER FEE NAME TOTAL BNR-001381-2021 3/4 Water Meter Fee(Calc) $732.71 Address Fee $30.00 Building Permit Fee $730.00 Building Plan Review Fee $365.00 Driveway Fee $45.00 Electrical Permit Fee $80.00 Electrical Plan Review Fee $40.00 Mechanical Permit Fee $75.00 Mechanical Plan Review Fee $37.50 Park Impact Fee-Single Family/Townhome $769.56 Plumbing Permit Fee $75.00 Plumbing Plan Review Fee $37.50 Public Safety Impact Fee-Admin $26.35 Public Safety Impact Fee-Police $254.00 School Impact Fee $8,328.00 Sewer Connection Residential Fee $2,090.00 SIF 1 percent Fee $83.28 Transportation Impact Fee $3,595.68 Transportation Impact Fee-City $36.32 Water Connection Residential Fee $1,010.00 39533 Meadowood Loop Zephyrhills, FL 33542 SUB TOTAL $18,440.90 REMITTANCE INFORMATION TOTAL $18,440.90 City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 February 22,2021 _ 5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1 -20 BOUNDARY& TOPOGRAPHIC SURVEY FOR: MICHAEL V. PERRY& MICHAEL S. PERRY. N BEING LOCATED IN THE SOUTHWEST 114 OF THE SOUTHEAST 114 OF SECTION 13, TOWNSHIP 26 SOUTH, RANGE 21 EAST, PASCO COUNTY, FLORIDA. W ALE 20 10 0 20 : DESCRIPTION AS PROVIDED: SCALE IN FEET:1, 20, 30t LOT 72,MEADOWOOD ESTATES,A SUBDIVISION ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 15 ON PAGE 106,IN THE PUBLIC RECORDS OF PASCO COUNTY,FLORIDA. X EP EL•1821' A,�/ s 'PR/ SURVEYOR'S NOTES: EL:79•00' N6 1)SUBJECT PROPERTY APPEARS TO LIE IN LOOD ZONE"X"d�"AP ACCORDING TO F.I.R.M. X EL 7819' S jf o Ep COMMUNITY PANEL 6,12101C201 . F. O EL 78.F DATED SEPTEMBER 26, 2014. (2)THERE ARE'NO VISIBLE ENCROACHMENTS ONTO THIS PROPERTY EXCEPT AS NOTED. C EL:78.92' 4 y9hC/ N� (3)THIS PARCEL IS IDENTIFIED BY THE p N6 EL:79.01' kF�ce PASCO COUNTY PROPERTY APPRAISER'S O ;? CLF I OFFICE AS PIN#22-26-19-0040-00000-0320. 3 EL:78.22' EL:78.91' (4)THIS PARCEL CONTAINS 7,833 SQUARE FEET. O X Ev NG A F 5 THIS DRAWING IS FOR THE BENEFIT ONLY OF THE a EE)) � Fame 1�r VA NAMED HEREON AND NO ONE ELSE.If IS W EL:78.47' Roo No vs- NOT VALID WITHOUT THE ORIGINAL SIGNATURE AND tS $► ►`l6-aF RAISED SEAL OF THE SIGNING SURVEYOR.IF ao VIEWING THIS AS A.PDF,IT IS INFORMATIONAL ONLY. (6)THE ADDRESS OF THIS PROPERTY IS 39533 M ; EL:78.a4' o, " L (I BEARINGS LOOP, HEREON BASED 33 2. X E:78.21' a LOT# 72• X EEV79.06' RECORD PLAT:THE SOUTHERLY BOUNDARY OF VA A T Ei:78.F CIE— LOT 72 IS RECORDED TO BEAR S 860 00'OW W. �F i8 s1E seraluRx#z LOT GEOMETRY IS REFERENCED TO RECORD PLAT. Z 9;THE ELEVATIONS AS SHOWN HEREON ARE NAVD"88", Q AND THEY ARE REFERENCED TO NGS BENCHMARK Q 682 sre BBdCHma#1 FOUND 11r IRON ROD W FOUND 11r WN ROD NO WAD.a:78.51' AS PID DK 5505. EL•78.14' NO CAPAD.a:78.9r a W (10)CLF REFERS TO CHAIN LINK FENCE;NG REFERS TO X Ep:rp NATURAL GROUND;EP REFERS TO EDGE OF PAVEMENT; EL:REFERS TO ELEVATION IN FEET. _ a ELL:79.17' W g 4'High Chainlink Fence O 110.001 �78. 10 73'I O EL:78.16' SURVEYOR'S CERTIFICATE. 11 X EP g I Fw� " 5 8600010011 W D. is I a:7e.97' L0�3 ooNCR ARM I THIS IS TO CERTIFY THAT THE INFORMATION SHOWN UPON Z I I THIS SURVEY WAS AC ��EtiEY....... " ACQUIRED'BY ME IN ACCORDANCE WITH THE �'t4:.��T 1 FlC9 y�,, I STANDARDS OF PRACTICE:FOR SURVEYS_AS'ESTABLISHED BY , CHAPTER 61617-6 THE FLORID(I;AD'MIt�QSTRATIVE CODE.AND _ a = No.6399 ' ° = 30 I CERTIFIED T0: IN ACCORDANCE WITH F:S.6271642 IS•WARRAM, TO THE _ PER _ MICHAEL V.PERRY: SONS CERTIFIED TO FOR A PERMD,OE NINETY-(90)DAYS FROM :g ; s7n7E OF n; MICHAEL S.PERRY. THE DATE SHOWN HEREON. . %. S..... SHEET i OF 1 SHEETS 1411 J1 A JEPFREY S.MURPHY, P.S.M. I 0 /20 L.41VD SURVEYOR FLORIDA SURVEYOR 8 MAPPER 12609 SAULSTON PLACE CERTIFICATE AUDSON,FL 34669-5011 N0.LS 6399. LAST DATE OF FIELD SURVEY AUGUST 25,2020. (813)244-8694 D Single Family Dwelling Plan Review Comments 1. F.F.E;.shall be a minimum of 8" above the road elevation and an engineered site plan. 2: Lots shall be graded to comply with R401.3:of the F.B.C.- Compaction test required if 24"or more of fill dirt is brought in at any one.place. 4: Tie in survey required before pouring concrete. 5. Driveways require a R.O.W. use permit: All 4 sides of driveway thru the sidewalk shall have expansion material. 6: All setbacks shall be met. 7: All property markers sliall be uncovered and marked at time of first inspection. 8: All A.D.A. requirements shall be met: 9: No electric,.plumbing, mechanical, or framing shall be- covered without an inspection and approval first. 10. All Garages shall comply with section R30.16 of the F.B.C. (Fite Separation): 11. Appliances shall not be installed in a location where subject to mechanical damage unless protected by approved barriers. M303.4 of the F B.0 12. Water heaters shall comply with section P607.3 of the F.B:C. 13. Foundation supports for A/C units shall b:e.raised at least 3" above Anislied grade. M1308A. . 14. Return air in all bedrooms. F.B.-C. M1620.4 15. Smoke detectors are to be installed in accordance with R313.1 of the F.B.C. 16. All glazing requirements are to be in accordance with R308.4 of the F.B.C. 17. All means of egress are to be in.accordance'with R311 ofF.B.C.the F. 18. "Green gypsum board" shall riot be used as a backer in showers or tubs: R702.4.2 F.B.C. 10. Combination-type AFCI breakers are required at all locations requiring an AFCI.type breaker. 20. Carbon monoxide alarms will be'required iri new construction that uses fossil-burning Beating or appliances or an attached garage. They shall be installed in accordance with the F.B.C: 21. All plumbing,mechanical, and electrical shall b.e separate from unit to unit. This includes all underground plumbing and electric. M All 2016 N.E.C. Codes will be enforced. 23. Tamper- Resistant.Receptacles in accordance with 406.11 of the.2016 N.E.0 24. In accordance with the Land Development Code,lots shall be sodded before final at least 10 feet around the structure. 25. R403.5.3Hot wciter'pipe insulation Insulation for hot water pipe with a minimum thermal resistance (R-value) of R-3 shall be applied to the following: . Piping.1, inch (19.1 mm)and larger in.nomina,l diameter. Piping.serving more than,one dwelling unit: Piping located outside the conditioned space. Piping from the:Wbter heater to,a distribution manifold: Piping located under a floor slab. Buried in piping.- Supply and return piping in recirculation systems other than demand recirculation systems. 25.Blower door test shall be provided before C.O. 26. A copy of the enemy cacls shall be with permit at all times 27. Copy of Tnal insulation reportshalhbe provided with permit before fnaL 28. No fence, pool or screen enclosure Is issued with:this permit F.F.E.-Finished Floor Elevation F.B.C-Florida Building Code 6t' Edition R.O.W.-Right of Way A.D.A.-Americans with Disabilities Act N.E.C.-National Electric Code(2016) DocuSign Envelope ID:2F9BDBCS-88CE-4EA6-832F-472BCC88E4ED - .,ILy VI z-cNI lyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting Owner's Name IG A E R Owner Phone Number 813-4a8— 4 7 Owners Address S3 q 3 ( fb 5T Z14IU-5 Owner Phone Number Fee Simple Titleholder Name 1 301 WJeWrAgW cORP Owner Phone Number Fee Simple Titleholder Address I s-sq 3 vo6 5 r 'ZH I f(-e5 JOB ADDRESS S 3 Me-o-DOWOOp 7,Ep(4 HIWS rL 33S LOT# 7� SUBDIVISION P9SADowop a7,q7V PARCELID# /3-a6-9/-6/y0 -00000 -07ao (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED ® NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE XQ SFR = COMM = OTHER TYPE OF CONSTRUCTION ® BLOCK ® FRAME = STEEL = DESCRIPTION OF WORK NEW 51t461,E/1,AMl[,Y KomE BUILDING SIZE 36' X S"9 SO FOOTAGE /89� HEIGHT 1 IO t 6 r ©BUILDING $/[r/O 000 1 VALUATION OF TOTAL CONSTRUCTION QELECTRICAL IS S 000 AMP SERVICE = PROGRESS ENERGY = W.R.E.C. QPLUMBING $ 71 V Od �V I ���Pl"" QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 7 000 0 1(' =GAS E] ROOFING = SPECIALTY `.J OTHER �� U FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO BUILDER s COMPANY COKP SIGNATURE / / REGISTERED N FEE CURREN I WN Address License#I CPLC /73,2 — ocusgne y: EAST PAS CO ELECTRIC, INC. ELECTRICIAN COMPANY SIGNATURE• REGISTERED I Y/ N FEE CURREN I Y/N Address ANTHONY LEGER EC-13003069 License# --'Docusl0ned bY: PLUMBER COMPANY SANTbS PL,,M13/NG r L( .— SIGNATURE i Q��t�^•v J�^"iW�S REGISTERED Y/ N FEE CURREN N r—GihG GtK Address I License III Cfc1428843 MECHANICAL cccu 'ene r• COMPANY SOSA AIR FLOW, INC �^ SIGNATURE J au Soso REGISTERED I Y/ N FEE CURREN Address License# CAC1819615 OTHER COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N Address License# 1111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. •"•PROPERTY SURVEY required for all NEW construction. Dlrectrons: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW 13-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 i Building Department Date Received Phone Contact for Permitting — Owner's Name IG AQ_ P&-WZY Owner Phone Number Sl3-4a8- 4'1 Owner's Address r34 3 vb S-r zmtj's Owner Phone Number Fee Simple Titleholder Name 3O f L) JI9,0Fffi6 f r- Owner Phone Number Fly- a Fee Simple Titleholder Address S34 3 $T ZN l u..S ` JOB ADDRESS 3 IME�DOW00o 7,6A4 IiIwS rL 3$9' LOT# 7� is SUBDIVISION IVADowoo EST,4.7-5$ PARCELID# �3—a6" aZ� - /�!O — 00006 - 07ao : (OBTAINED FROM PROPERTY TAX NOTICE) %.;.WORK PROPOSED ® NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH is INSTALL REPAIR PROPOSED USE 0 SFR 0 COMM = OTHER r'TYPE OF CONSTRUCTION © BLOCK ® FRAME = STEEL = sv:;,DESCRIPTION OF WORK F`i:BUILDING SIZE 3, xs� SO FOOTAGE 89� HEIGHT �e 1tio f..- ©BUILDING $ 1q0 000 VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ g DOD AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. OPLUMBING $ 7 00 OMECHANICAL $ 000 VALUATION OF MECHANICAL INSTALLATION =GAS 0 ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO . . . . . . . . . . . ._._. ._. . . . ._. - - - - - - - - - - - - - - - - - - - - - - - - BUILDER COMPANY .30/ L)6va0 f))2l 7-C012P SIGNATURE REGISTERED I W N FEE CURREN N g Address License# C/ C 1332a. ELECTRICIAN COMPANY SIGNATURE• REGISTERED I Y/ N FEE CURREN Y/N Address I License# PLUMBER COMPANY SAHTU5 Pc.vm 0/N6 I L( C SIGNATURE REGISTERED I C)g/ N FEE CURREt` N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address I License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LY/N Address License# F 1111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers-___.Service Upgrades A/C Fences(Plot/Survey/Footage) ---• - - _. .. _ Driveways-Not over'Counter-if on public roadways..needs.ROW a NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the.owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements.may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore; if the owner has hired a contractor or contractors, he is°advised to have the contractors) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to.permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees'may apply to the construction of new buildings, change of use in existing buildings,.or.expansion-of.existing buildings, as specified in Pasco County.Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will-be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,as amended): If valuation of work 1s$2,500.00 or more, I certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If.-the applicant is someone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as Indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to'the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: , - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, . Wetland Areas, Altering Watercourses. - Army.Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health -Unit-Wells, Wastewater Treatment, Septic Tanks. I If, - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone"V"unless expressly permitted. If the fill material is to be used in Flood Zone "A"l it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area,. I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for,violating the conditions of the building permit.issued under the attached permit application, for lots less than one (1) acre which are elevated:by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.0 OWNER OR AGENT f / CONTRACTOR / ! A� S bscribed and swor to(or affirmed)§efore me Subscribed and swom too ffirmed)bef re me this 1�i 2.( b by /C. Who War ersonally kno to me or has/have produced Who is/ar ona lFy kno to me or has/have produced as identification. L L as identification. ' Notary Public �1 n t '� /�-�JL--� Notary Public Commission No. �k-4, 3T I`Q b Commission No. �-��c�Y1i 2. I--'D�•©v1�a�. ��yi re L_ �YZ 5 U� Name Name of Notary typed,printed or stamped ► P .I MELONIE L.MONSON 'o% ; MY COMMISSION#GG 347607 MELONIE L.MONSON aYO '•' * ' ` W COMMISSION#GG 347607 mi, o!o= EXPIRES:August 19,2023 "� `= August 19 2023 ,dF€; EXPIRES. EXPIRES: ug 1 ••FOFF�°•' BWed Um Notary Pubhc Undeanlism 813.78G-0020 City of Zephyrhills Permit Application Fax-8ta-7806002e Building Department Date Received phone Contact for Permitting - OwneFs.Name 361 (iLUc;( QchG cr>KP Owner P hone Number #r�I3 '�Id8- 47 Owner's Address .S".S't3 Jo}LSL 4t-fN (2t-)IUS OwnerPhone•Number „i Fee Simple Titleholder Name Own®cPhona Number rr Fee Simple Titleholder Address JOB ADDRESS 3 fi/lG D (.Q P Z`N E0 Gt.S 'LOT# SUBDMSION 1 PARCEL,109 (OBTAINED FROM PROPERTY TAX NOTICE) ' WORK-PROPOSED NEW CONSTR ADDlALT � SIGN Q = DEMOLISH ® INSTALL 8 REPAIR PROPOSED USE SFR Q COMM OTHER. TYPE OF CONSTRUCTION © BLOCK 0 %•FRAME STEEL• 0 DESCRIPTIONOFWORKGtt/ S/NGGC BUILDING SIZE �T SO FOOTAGE C� HEIGHT-' =Bl11LOING IS VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL l$ AMP SERVICE Q 'PROGRESS ENERGY = W.ME.C. =PLUMBING $ 7 DU0 =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING Q SPECIALTY = OTHER FINISHED FLOOR'ELEVATIONS� 7--] FL-OOD ZONE AREA AYES NO BUILDER COMPANY SIGNATURE REGISTERED 1.Y/ N ', FEE CPRREI, LLY!N Address License#. ELECTRICIAN COMPANY SIGNATURE• REGISTERED �-Y f N FSE cuR"RI, L Y!N Address Ucense#I PLUMBER _ COMPANY ��UY ALA PiIl3tfXG rtY� SIGNATURE I REGISTERED /'N FEECURREC N Address ucense# :e 'C 1tfoZ9_Z1 MECHANICAL COMPANY SIGNATURE REGISTERED -[�Yt N -FEE CUR'REn- ••' Y!'N.Yt N Address Ucense#.,l OTHER - COMPANY SIGNATURE REGISTERED I Y I N, FEE CURREn Y!N ' Address Ucense#, 1 1 1"P1'1 1.1 1 1.1.i 1 1'1 1.1 i 11'.1.1 1:1 1 1 F1.LIrl;1 1 1 1,1 1 1:1 1 1.1 1 1.1.1 1'1 t I 1,0 hb1 1,1'1 1`1 1 I'I'i`1 1 RESIDENTIAL Attach(2):Plot,Plans;(2)sets of Building Plans;(1).sat of Energy Forms;:R-O'W Permit for new constricilon. Minimum ten(10)working days after submittal date.'Required onsite.Construction-Plahs;Stormwatef Plans.w!Sfft Fence Installed. Sanitary Facilities&1 dumpster,Site Work Perm#for subdivislonsflarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.ROW Permit for new construction. Minimum ten(10)working days—after—submittal date. Required onslte,Construction Plans,Stormwater.Plans wl Sill Fence.installed. Sanitary Facilities 8,1 dumpster.Site Work Permit for allnew projects.All commerdai requirements must meet comp0an0e SIGN PERMIT Attach(2)sMo.fEngi6eerediPians. —PROPERTY SURVEY required for all NEW construction. Directions: FRI out applicatlon completely. Owner 8 Contractor sign back of application.notarized if over$2500,a Notice of Commencement is required. (AfC upgrades over$T500) Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing some OVER THE COUNTER PERMITTING (copy of contract required) Reroois N shlrgles Sewers Service Upgrades'AIC Fences(PlotrSurveyll ootage) Driveways-Not over Counter B on public readways.:needs ROW r :PERM APPL'ICAIONi U1, 7DRr4E1NAY P.ERMr.r:AP.PL,ICATZON }CvN 1't __ N-V�1ITMTN VUSUC=RIGHT-OF-WAY. AM lntnrmation-m be-fliie+d4n completely OW02gphyrhills 3335'.EP Street,Zephyrhiils,-FL 33542 e3ephone B13780.000D'_ Fax 813.780.0005 Nal fill mu Wig e, . 6 ,:•. w� '�4.v33�.S' 4e.d3� .,'S,i tl 8,. r- � l�r a MIM 613 SITE: -PROPERTY'OMER Address: 4 /Vit?A POW000 LOOP Name: o �S1Pm I clo P Unit*: Address: 5'3 Li3 (off Unit Parcel Idm 0cation'Number. Ci ..State Z f'Pf4 YrefitCV5-r'(- �3 13-arv-at -01 go -6 ©tJ(�- a ,Phone: - a8! 7l Fax: ;CONTRACTOR: company: 01 Name: M1Cj:jAiFL PM9Y Contractor's Uc ertse` : c'-RC(33 I 11,E E-Mail: !Yt t�c� c=oNS+�U'/t�F�•cm�-► -Phone: 913-9.4$•-!q?! Cell: Fax: ARCHITECT/ENGINEER: Name: PRZANK OCJUSL5� Firm Name: r��C GlM tn[6° d�t�l6tq( GLC, Address: 3 3lp W�3fhlr�u rlG"J2D CSCy' i P/a SCdte: Zip' 3�vll State License*: •7 3 S-3 9 Phone: Cell: pew oban o Protect MMIE QE DRIVEWAY J LENGTH or-m EWAY CULVERTS"NEEDED __g—RESIDENTUU.DRIVEWAY WIDTH OF DRIVEWAY ( )REINFORCED CONCRETE. COMMERCIAL DRIVEWAY $AMA VA= ( )CORRUGATED MATERIAL --PUBLIC ACCESS DRIVEWAY ,NTH. LINEAR FELT ( )BOX CULVERT ( )OTHER(E)(PIAW) CflNSTRUCn0N MATERIAL CURB G!IT RECt, 1 ytED ASPHALT YES NO .CONCRETE HEADWALL,REOWRM YES _ _No NCMICE TO-APPLICART If actual work exceeds scrape of this description,additional peen is or drawings -will be required. UTILITY LOCATION6 R_E0U11RED: CALL BEFORE YOU DIG:1.800A32A770 Page 1 of 3 61a Z*Bud (uol4emuP!jo aft)'uogmtmuapl se pwanpoad jo aui al uMoq Alieuosjad( )sl lue>>lddtl ageQ ejnaeu6lS AjWN(jo) aMBuBIS ueclutPO.L:luuad am aeueN 1rljd lueslift (lelllul aseald) Iuawaggs amsolasip laplin9l-�o atp pue�apua pue peaj aaey 14evA All�aa I :�ealoe sly Gulu6is Aq :S&O At2l3d0'dd *WMMAuoot so I pue:Iuaugeaa J'Qq*MujW Ba!#spQ y"a as yMi sa4!'e !! s�(eeaaj�sa 's p#a ealed:�sa eaueu yeu�sad olglsu� !eN da2lio ►a4t :RWN 'OrMf W AMON NO NVOINMO31 IMAM V AG®SS3N M QNV NOLML-31 MI NUO'dd HJ.1M 43N9IS ss3'imn QIOA SI NOLLVDnddd (dse-q= Mndlsrrli q&4darp- mmm:)Iug aquo lenueW u6paG gjoM oltAud) "(afquXidde jj)spuepugS u6paa low pue IenueN usssou sWolla*11gnd lopo3 SuMm eppot-i;uaum atp qV.m Aldauao 1Pgs 4wm IIV •/(uWcud sill3 o}Aidde stew suoiOWqu paaP leUdplppe Imp puewapun I pue suopDWim peap tMm eoueiidwoo amsue jou swop glwaad slog do aouenssl aU '€it-S'3''b;u noel uan elKjol3;o SauMo Avadcud atg Ajqou ils+++I Mp uoRe !la++s!Vuuad slip jo muerml pue's uu�p uolpnRsaao panojdde lie xano assuapwmd agez llep sapm asa o puwjapun I 'sue alQegpWe He tMM 14dwoo lima)PoM Ile IMP Pue aleme sl uc)w wolul 6ulofto3 ne lma Ajww I 'PmipW se suopneasul pue 4toM op oW 3luuad a ulepo q apur AWratl sl uORM19 t/ *.iMVQL4-.3d j y'�EJNdsd ���oo� -L(w r ��s� u.�nNt�ad�Lil 'NOIIV*PIddV SIM Ol sovuv'a3vznbaw SI 3JVdS'1VNOLLtaov di'v3vv sna NI HOMMS 3aIAOUd =V33NnN MOUVNMNOD 31i/)O1 Sax UUM t �rtUit�f"►'R.ti.. .:..riffs ''• re¢Ma 9 Arru1.w I RUB OFFICE USE ONLY fti°�4M. wi:t�i 4 .���,.,�d.'1•ya::: ..r. E�N`TY.?_�<<` .;c_-.:'SS^"�3•�'{':e:.`.}�;'i�, :i ��: -_ :: =3:'-'.-itiS2='i+t'Fa."-�..'�..r:.w+l:.,:t"Ke.-�� ��Vs� ..T!,� �. ��_.. `t, - `3' ..�,` ,i�'• - Concrete (min.61) Y N Asphalt Base(min. Y N J Asphalt(min. ilho) Y N Length(min. 19' N Width 10'min—20'max) Y N Existing sidewalk. Y N New sidewalk. Y ADA eomplianL Y N Expanslon material required. Y N l gia zr Contiguous parking pad. Y N Triangular flare(3'W x 71) Y N S Visibility triangle o.k.? Y N Side set bads(3'min. R.O.W.) Y N Plan Review Fee AAilitidfialtesiri'tiion:dfworka 9 s d esl=ti PuFficlAiorlLsirctoi' i S� G o 0 vtl 4JUE Permit application approved by: Date. � 2 Page 3 of 3 BEING LOCATED IN THE SOUTHWEST 114 OF THE SOUTHEAST 114.OF SECTION 131 TOWNSHIP 26 SOUTH, RANGE 21 EAST, PASCO COUNTY, FLORIDA, 10 20. DESCRIPTION AS PROVIDI SCALE IN FW.?=20' 3p, LOT 72,MEADOWOOD ESTATES, A SUBO L TO THE PLAT THEREOF, AS RECORDED IN-PL„ e r PAGE 106,IN THE PUBLIC RECORDS OF PASCO X Q:78.21 0 11 SURVEYOR'S NOTES: ` 1 E1.79,00' :T PROPERTY APPEARS TO LIE IN &7819' S�l 0 t ENE ux' ACCORDING TO F.I,R:M. X EP ' TY PANEL 12101C 0458 F. O t . PTEMBER,26, 2014. 01. ARE NO VISIBLE ENCROACHMBdTS 1q• ....4,y,. :S'PROPERTY EXCEPT AS NOTED. ,JI EL'78.92' aoosQT 9hc ,��kF 'ARCEL ISIDENTIFIEDBY.THE '/,1/ 'esetQ p1h ' . UNTY'PROO. TY'APPRAISER'Stm j Hub p6 Tack �A'y?6't 1 -0720. IARRCCEL.CONi'A"7,03 Q�U ft-FFEET. 4�. x�18.Z2' � 13.33' lRAWIN6 IS FOR THE BENN%,ONLY OF THE O a NAMED HEREON, AND NO ONE ELSE:.IT,iS tul "' ;� 17' Hub A Tack N6 aF EWi D WITHOUT THE ORIGINAL SIGNATURE AND` �1 g "AL OF THE SIGNING SURVEYOR:IF , .,12' THIS AS k PDF;IT IS INFORMATIONAL ONLY. )DRESS OF THIS PROPERTY IS 39.533 � � )OD LOOP Z.EPHMa.'LS,FL 33542. X&78,21' ,� �* ! FFE = 79.1' 46S SHOWN'.HEREON BASED ON..- - --. - z i,� ELAT:THE-SOUTHERLY BOUNDARY OF RECORDED.TO'BEAR 5 860 00"W' W. cOMETRY IS.REFERENCED TO"RECORD PLAT. a {i NATIONS AS SHOWN"HEREON ARE NAVD"88" 2'x2" •&0a. 47' o sit ARE.REFERENCED TO WSBENCHMARK Q-682 v 49° �69, : 1', . a'wFOk 5505. EL:7814' � 2 x2 EFERSIO'CHAIN LINK FENCE; N6,REFERS TO X EP-Tp Hub*Tack GROUND, EP REFERS'.TO:EDGE.OF PAVEMENT; S TO ELEVATION IN FEET. '"v: EL:79.17' 4'High Chainlink Fence. d.Qa+ &78.73 1 CIA LL //�� o X E 78.1b° Q- FOUND jr IRON S V�OOloul W. r o cow Fours, C S'CERTIFICATE: 1 aoo ra��- s TOIE uxo�a v LOT # 73 E�. I HE'INFORMATION SHOWN UPON, Z 1 BY'ME.IN ACCORDANCE WITH THE sztzvy ' OR SURVEYS AS ESTABLISHED BY ti '...... ! ZIDA ADMINISTRATIVE CODE.AND ••'• '•� 30 1 CERTIFIED TO:. 127.7842 IS'WARRANTED TO'THE .Y g. MICHAEL V.PERRY: )ERIOD OF.NINETY Dq DAYS FROM v tnr o MICHAEL S. PERRY. HOWN HEREON: ns:6399, yf� S.M. 2/2712021 oF. FLOC MAPPER -'4 t PASCO COUNTY, FLORIDA Permlt No. t —�j� Date Permitted Builder Name/Owner Named ihyn&1 ( Control# County Parcel No. ' 2� b I 4v 006D 0 1 W SubDly: Address/Location Classiflcationtrype of Use c,5! t TRANSPORTATION IMPACT FEE Rate: Sq•Ft Unit: BZ(J Exempt ❑Yes ❑ No How Determined Impact Fee Amount $, �=►!Iti7Jz Zone No. TAZ: SCHOOL IMPACT FEE p� % rr Account (056) Single-Family Detached House Amount $ �t �l'� (057) Mobile Home (058) Other Residential 23) Collection Fee it Exempt 6 Yes Q No How Determined PARKS AND RECREATION FEE- Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation-Total Zone TOTAL AMOUNT $ l 0 A Exempt ❑Yes ❑ No How Determined. LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt ❑Yes ❑ No How Determined Total Amount RESOURCE FEE ERU TOTAL AMOUNT Prepared By Checked By NO CERTIFICATE OF OCCUPANCY-WILL BE ISSUER OR FINAL INSPECTION PERFORMED UNTIL THEtGTAL AMO'gN'tS LISTED HAVE BEEN;PAID AND RECEiPTED FOR BY A CENTRAL PERMITTING OFFICE,OF PASCO COUNTY Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of-a copy of this form,placing the building petrnit owner on notice of this assessment and the conditions of payment for same. DATE RECEIVED BY RECEIPT NO. DATE BY